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Journal of Nursing ›› 2018, Vol. 25 ›› Issue (21): 47-50.doi: 10.16460/j.issn1008-9969.2018.21.047

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Case-control Study on Relationship between Urine Components and Urinary Calculus in Pilots

ZHANG Hai-hong1, SUN Yu-mei2, CUI Liang1, Zhang Li-jie2, SU Ye2, XING Peng-bo2, GAO Jiang-ping3   

  1. 1. Dept. of Urinary Surgery, Civil Aviation General Hospital, Beijing 100123, China;
    2. School of Nursing, Peking University, Beijing 100191, China;
    3. General Hospital of PLA, Beijing 100853, China
  • Received:2018-06-18 Published:2020-07-08

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Abstract: Objective To explore the relationships between urine components and urinary calculus in pilots. Methods A 1:3 case-control study was carried out. From March to December 2017, 64 hospitalized pilots with calculus in a tertiary general hospital and during the same period, 192 cases of healthy pilots were involved in the study and their morning urine components were analyzed. Results Multivariate logistic regression analysis of the urine composition of the two groups found that urinary calcium, phosphorus and sodium were risk factors for calculus formation, and OR value was 4.31, 1.20 and 1.04 respectively. Urinary chloride and magnesium were protective factors for calculi, with an OR value of 0.96 and 0.95 respectively. Conclusion Regular monitoring of urinary calcium, phosphorus, sodium, chloride and magnesium in early morning urine, early detection of risk factors for stones, and early intervention in the lifestyle of high-risk pilots may reduce the incidence of calculus.

Key words: the pilot, urinary calculus, urine composition, risk factor, case-control

CLC Number: 

  • R473.6
[1] 梁谷米,余清平. 飞行人员尿石症临床特点和医学鉴定[J]. 中华航空航天医学杂志, 2006(3):222-224. DOI:10.3760/cma.j.issn.1007-6239.2006.03.013.
[2] 郑杰. 飞行人员泌尿系结石的病因学研究[D]. 合肥:安徽医科大学, 2012.
[3] 杜鹏,王若永,穆慧玲,等. 高性能战斗机飞行员膳食调查与分析: 中国营养学会第十次特殊营养学术会议[C].温州:中国营养学会特殊营养分会, 2017.
[4] Bird V Y, Khan S R.How Do Stones Form? Is Unification of Theories on Stone Formation Possible?[J]. Arch Esp Urol, 2017,70(1):12-27.
[5] 孙振球,徐勇勇. 医学统计学[M].北京:人民卫生出版社, 2016:244-255.
[6] Green W, Ratan H.Molecular Mechanisms of Urolithiasis[J]. Urology,2013,81(4):701-704.DOI:10.1016/j.Urology.2012.12.039.
[7] Skolarikos A, Straub M, Knoll T, et al.Metabolic Evaluation and Recurrence Prevention for Urinary Stone Patients: Eau Guidelines[J]. Eur Urol, 2015,67(4):750-763.DOI:10.1016/j.Eururo.2014.10.029.
[8] Parks J H, Goldfisher E, Asplin J R, et al.A Single 24-Hour Urine Collection is Inadequate for the Medical Evaluation of Nephrolithiasis[J]. J Urol, 2002,167(4):1607-1612. [9] Ogawa Y, Yonou H, Hokama S, et al. Urinary Saturation and Risk Factors for Calcium Oxalate Stone Disease Based on Spot And 24-hour Urine Specimens[J]. Front Biosci, 2003,8:a167-a176.
[10] Han H, Segal A M, Seifter J L, et al.Nutritional Management of Kidney Stones (Nephrolithiasis)[J]. Clin Nutr Res, 2015,4(3):137-152.DOI:10.7762/Cnr.2015.4.3.137.
[11] Dent C E, Sutor D J.Presence or Absence of Inhibitor of Calcium-Oxalate Crystal Growth in Urine of Normals and of Stoneformers[J]. Lancet, 1971,2(7728):775-778.
[12] 曹秋生,曹欣,黄士杰,等. 尿液成分对草酸钙结石的影响[J]. 现代泌尿外科杂志, 2007(6):366-367.DOI:10.3969/j.Issn.1009-8291.2007.06.006.
[13] Eisner B H, Eisenberg M L, Stoller M L.Relationship Between Body Mass Index and Quantitative 24-hour Urine Chemistries in Patients with Nephrolithiasis[J].Urology, 2010,75(6):1289-1293. DOI:10.1016/j.Urology.2009.09.024.
[14] Al-Hayek S, Schwen Z R, Jackman S V, et al.The Impact of Obesity on Urine Composition and Nephrolithiasis Management[J]. J Endourol, 2013,27(3):379-383. DOI:10.1089/End.2012.0275.
[15] Khand F D, Ansari A F, Khand T U, et al.Is Hypocitraturia Associated with Phosphaturia--a Potential Cause of Calcium Urolithiasis in First-time Stone Formers[J]. J Pak Med Assoc, 1994,44(8):179-181.
[16] Gyawali P R, Joshi B R, Gurung C K.Correlation of Calcium, Phosphorus, Uric Acid and Magnesium Level In Serum and 24 Hours Urine of Patients With Urolithiasis[J]. Kathmandu Univ Med J (Kumj), 2011,9(34):54-56. DOI:10.3126/Kumj.v9i2.6289.
[17] Wikstrom B, Backman U, Danielson B G, et al.Phosphate Metabolism in Renal Stone Formers. (I): Indices of Phosphate Handling in Calcium Stone Patients and Healthy Subjects[J]. Scand J Urol Nephrol Suppl, 1981,61:1-18.
[18] Ha Y S, Tchey D U, Kang H W, et al.Phosphaturia As a Promising Predictor of Recurrent Stone Formation in Patients with Urolithiasis[J]. Korean J Urol, 2010,51(1):54-59.DOI:10.4111/Kju.2010.51.1.54.
[19] Kim Y J, Kim T H, Yun S J, et al.Renal Phosphate Control As a Reliable Predictive Factor of Stone Recurrence[J]. J Urol, 2009,181(6):2566-2572, 2572. DOI: 10.1016/j.Juro.2009.01.101.
[20] Nouvenne A, Meschi T, Prati B, et al.Effects of a Low-salt Diet on Idiopathic Hypercalciuria in Calcium-Oxalate Stone Formers: A 3-Mo Randomized Controlled Trial[J]. Am J Clin Nutr, 2010,91(3):565-570.DOI:10.3945/Ajcn.2009.28614.
[21] Eisner B H, Eisenberg M L, Stoller M L.Impact of Urine Sodium on Urine Risk Factors for Calcium Oxalate Nephrolithiasis[J]. J Urol,2009,182(5):2330-2333.DOI:10.1016/j.Juro.2009.07.014.
[22] Bibilash B S, Vijay A, Fazil M Y.Stone Composition and Metabolic Status[J]. Urol Res, 2010,38(3):211-213. DOI:10.1007/s00240-009-0229-x.
[23] Reungjui S, Prasongwatana V, Premgamone A, et al.Magnesium Status of Patients With Renal Stones and its Effect on Urinary Citrate Excretion[J]. Bju Int, 2002,90(7):635-639.
[24] 蒲金赟,周建华. 氯离子通道与肾脏病[J]. 临床儿科杂志, 2016(2):150-153. DOI:10.3969/j.Issn.1000-3606.2016.02.017.
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